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Clinical and Salivary Antioxidant Effects of Matcha Tea in Patients with Gingivitis: A Randomized Controlled Trial
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Introduction

Gingivitis, the initial stage of periodontal disease, is characterised by inflammation driven by dental biofilm and associated with oxidative stress. Matcha tea, a powdered green tea rich in antioxidants, has shown potential health benefits. This study aimed to investigate the effect of Matcha tea consumption on clinical periodontal parameters and salivary antioxidant levels in patients with gingivitis.

Methods

A randomised controlled clinical trial was conducted with 41 participants diagnosed with gingivitis. Participants were randomly allocated to a Matcha tea group (n=21) who consumed two cups of Matcha tea daily for 30 days, or a control group (n=20) who received standard oral hygiene instructions. Primary outcomes were clinical periodontal parameters (Plaque Index [PI], Bleeding on Probing percentage [BOP%], Gingival Index [GI]), and secondary outcomes were salivary levels of Malondialdehyde (MDA), Superoxide Dismutase (SOD), and Glutathione Peroxidase 1 (GPX1), assessed at baseline and after 30 days.

Results

Both groups showed significant within-group improvements in PI, BOP%, and GI at the 30-day follow-up (p<0.01). However, there were no statistically significant differences in these clinical parameters between the Matcha tea and control groups at the endpoint. The Matcha tea group exhibited a significant reduction in salivary MDA levels (p=0.002) and significantly higher salivary SOD (p=0.047) and GPX1 (p=0.027) levels compared to the control group at the 30-day follow-up.

Discussion

The biochemical improvements are attributed to Matcha's potent antioxidants, which favorably modulate the oral redox balance. The lack of superior clinical outcomes suggests that the profound effect of mechanical plaque control may have overshadowed any adjunctive benefits from Matcha within the 30-day trial. This highlights a potential disconnect between systemic antioxidant modulation and localised clinical changes in gingivitis management.

Conclusion

Daily consumption of Matcha tea for one month favorably modulated salivary antioxidant biomarkers in patients with gingivitis, reducing lipid peroxidation and increasing antioxidant enzyme levels. However, these biochemical changes did not translate into statistically significant differences in clinical periodontal parameters beyond standard oral hygiene within this study's timeframe.

Clinical Trial Registration Number

NCT06912958

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Publication Date
Fri Sep 26 2025
Journal Name
Journal Of Baghdad College Of Dentistry
Evaluation of salivary levels of Proteinaceous biomarkers Matrix Metalloproteinase (MMP-8) and C-Reactive Protein (CRP) in type 2 diabetic patients with periodontitis
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Publication Date
Mon Mar 01 2021
Journal Name
Journal Of Physics: Conference Series
Evaluation of total oxidant status and antioxidant capacity in sera of acute-and chronic-renal failure patients
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correlation of serum tumor necrosis factor alpha and high sensitive c-reactive protein with clinical periodontal parameters in osteoarthritis patients
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Clinical Characteristics and Antibiotics Sensitivity of Culture Positive Typhoid Fever Patients in Baghdad Teaching Hospital - A Single Center Study
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Correlation between Periodontal Health Status and Salivary Matrix Metalloproteinase-9 Levels in Smoker and Non-Smoker Chronic Periodontitis Patients (A Comparative Study)
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Background: Periodontal diseases are inflammatory diseases affecting the supporting tissues of the teeth. One of the leading environmental factors that are closely related not only to the risk but also to the prognosis of periodontitis is smoking. This study aimed to evaluate the influence of smoking on periodontal health status and to measure the levels of matrix metalloproteinase-9 in smokers and nonsmokers chronic periodontitis patients, also it aimed to test the correlation between the levels of matrix metalloproteinase-9 and the clinical periodontal parameters. Materials and Methods: Five milliliters samples of un-stimulated whole saliva and full-mouth clinical periodontal recordings (plaque index, gingival index, bleeding on probing,

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Publication Date
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Comparison between the effects of Aloe vera and chlorhexidine on clinical periodontal parameters
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Publication Date
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The relation of salivary glucose with dental caries and Mutans Streptococci among type1 diabetic mellitus patients aged 18-22 years
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Background: Diabetic is a chronic systemic disorder of glucose metabolism. That could be diagnosed using fasting and/or random plasma glucose and Glycated Haemoglobin (HbA1c). Several biochemical and microbial alterations of saliva could affect dental caries occurrence and severity among diabetic patients. The aim of the present study was to assess the relation of salivary glucose with severity of dental caries and Mutans Streptococci, among uncontrolled and controlled diabetic groups in comparison with non-diabetic control group. Materials and Methods: The total sample composed of adults aged (18-22) years. Divided into 25 uncontrolled diabetic patients (HbA1c > 7), 25 controlled diabetic patients (HbA1c ≤ 7), in addition to 25 no

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Publication Date
Fri Sep 27 2019
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Clinical Assessment and Cytomorphometric Analysis of Buccal Mucosal Cells in Behçet’s Disease Patients
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Background: Behçet’s disease (BD) is a disorder of systemic inflammatory condition. Its important features are represented by recurrent oral, genital ulcerations and eye lesions. Aims. The purpose of the current study was to evaluate and compare cytological changes using morphometric analysis of the exfoliated buccal mucosal cells in Behçet’s disease patients and healthy controls, and to evaluate the clinical characteristics of Behçet’s disease. Methods. Twenty five Behçet’s disease patients have been compared to 25 healthy volunteers as a control group. Papanicolaou stain was used for staining the smears taken from buccal epithelial cells to be analyzed cytomorphometrically. The image analysis software has been used to

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Assessment of Salivary Levels of the RANKL and RANK in Patients with Healthy Gingiva on Reduced Periodontium Versus Periodontitis: An Analytical Cross-Sectional Study
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